Results 1 to 3 of 3

need help w/ Ca code

  1. Default need help w/ Ca code
    Clearnace Sale
    I have a pt who has adenocarcinoma of the upper lobe. The mass invades the pericardium. Would you code that as 162.3 and 198.89, or 162.8 and 164.1. Any assistance would be helpful. Thanks

  2. #2
    Nashville, TN
    Invasion generally indicates metastasis; however, depending on your processes, you should query the provider and review the pathology to determine if there are 2 primary sites, or if the pericardium is the acutal mets. This generally works for the inpatient setting rather well, where as in the outpatient setting you may be limited.

    If documentation is not clear, or you are not able to query the provider, I would venture to say that lung primary and pericardium mets would be a safe bet.
    Monica M. Watson, RHIA, CPC, CCS, CCS-P, CPMA, CIC, CRC
    Director of Coding Services
    Centauri Health Solutions

  3. #3
    Code neoplasms according to their point of origin which in this case is the upper lobe 162.3. Then code the site of "invasion" or "extension" which in this case is the pericardium 198.89.
    Last edited by tampster4; 02-01-2012 at 10:58 AM.

Similar Threads

  1. To Code or Not to Code. Should Physicians Become AAPC Certified Professional Coders?
    By maaronson86 in forum Medical Coding General Discussion
    Replies: 3
    Last Post: 02-17-2012, 07:44 AM
  2. Replies: 1
    Last Post: 07-07-2011, 09:03 AM
  3. Replies: 1
    Last Post: 03-07-2011, 11:55 AM
  4. Replies: 2
    Last Post: 04-25-2010, 09:50 PM
  5. Replies: 6
    Last Post: 12-01-2008, 11:09 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.